AZELA MONTALVO BACAREZA Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041271943

License Status

NOT RENEWED

Business

First Name

AZELA

Middle

MONTALVO

Last Name

BACAREZA

Business Name

AZELA MONTALVO BACAREZA

Original Issue Date

10/28/1992

Effective Date

09/22/2020

Expiration Date

08/31/2022

City

CHICAGO

State

Zip

60617

County

COOK

Ever Disciplined

LastModifiedDate

10/14/2022